Comparing BCMA CAR-T therapy to stem cell transplant for multiple myeloma
Official title: A Prospective, Non-inferiority Study Comparing VRD±D Followed by BCMA CAR-T Cell Therapy Versus VRD±D Followed by Autologous Hematopoietic Stem Cell Transplantation in Transplant-eligible Patients With Newly-diagnosed Multiple Myeloma
Run by Institute of Hematology & Blood Diseases Hospital, China · NCT06793449 · Data updated 2026-11-12
This study is testing if a new CAR-T therapy for multiple myeloma works just as well as a stem cell transplant for patients who are eligible for both treatments.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | Institute of Hematology & Blood Diseases Hospital, China Academic / other |
| Drugs / interventions | CAR-T |
| Locations | 1 site (Tianjin) |
| Status | Recruiting |
| Started | February 5, 2025 |
| Main results expected | December 2026 |
| Study ends | December 2030 |
| Registry record updated | August 3, 2025 |
| Trial ID | NCT06793449 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 to 70 with measurable multiple myeloma and confirmed BCMA expression on their cancer cells.
✕Probably not a fit
Patients with primary plasma cell leukemia, concurrent amyloidosis, CNS involvement, or prior BCMA-targeted therapy will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study is a prospective, non-inferiority trial that evaluates the effectiveness of BCMA CAR-T cell therapy compared to autologous hematopoietic stem cell transplantation (ASCT) in patients with newly diagnosed multiple myeloma. Participants will receive either treatment following a regimen of VRD±D. The goal is to determine if BCMA CAR-T therapy is as effective as ASCT for transplant-eligible patients. The study will involve measuring disease response and patient outcomes over time.
Why it matters
Potential benefit: If successful, this study could provide a new treatment option that may improve outcomes for patients with multiple myeloma.
How similar studies have gone: Other studies have shown promise with CAR-T therapies in hematological malignancies, suggesting potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Be informed and voluntarily sign the Informed Consent Form (ICF). 2. Age between 18 and 70 years (inclusive). 3. Have measurable disease meeting at least one of the following criteria: Serum M-protein ≥1 g/dL (\>10 g/L) as detected by serum protein electrophoresis (SPEP), or quantifiable IgA or IgD levels for IgA or IgD-type myeloma; Urine M-protein ≥200 mg/24 hours; In cases where serum and urine M-protein do not meet the above thresholds, an abnormal free light chain (FLC) ratio (normal range: 0.26 to 1.65) and involved serum FLC ≥100 mg/L. 4. Confirmed expression of the BCMA target antigen on MM cells by flow cytometry or bone marrow immunohistochemistry. 5. Assessed by the investigator as transplant-eligible. Exclusion Criteria: 1. Primary plasma cell leukemia. 2. Concurrent amyloidosis. 3. Involvement of the central nervous system (CNS). 4. Previous treatment with BCMA-targeted therapy or CAR-T cell therapy.
Where it's running
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Institute of Hematology and Blood Diseases Hospital Chinese Academy of Medical Sciences
Tianjin, China Recruiting
Study contacts
- Study coordinator: Gang An, PhD&MD
- Email: angang@ihcams.ac.cn
- Phone: 86-022-23909171
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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BCMA-TGFβ CAR-T Cells in Relapsed or Refractory Myeloma
A one-arm phase 1 study tests a new BCMA-TGFβ CAR-T cell therapy to see if it is safe and provides signs of benefit in adults whose multiple myeloma has come back or persisted after prior treatments.
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CAR-T therapy outcomes and quality of life in older adults with B‑cell lymphoma
This project will see how CAR‑T therapy affects older adults (age 60+) with relapsed or refractory B‑cell lymphomas, focusing on daily function and quality of life while they receive standard care.
-
In Vivo CD19/CD20 CAR T-Cell Therapy for Relapsed or Refractory B-Cell Lymphoma
This early-phase trial tests a one-time in vivo CAR T-cell therapy (SL1617) for people with relapsed or refractory B-cell lymphoma to see if it is safe and tolerable.
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Understanding CAR-T Toxicities After Cilta-Cel in Multiple Myeloma
This observational study tests how patients with multiple myeloma respond to cilta-cel treatment by tracking toxicities and trying to spot biomarkers to guide care.
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PD-1Ab21-BCMA CAR-T consolidation for multiple myeloma with renal dysfunction
This trial will test a BCMA-targeted CAR-T cell therapy that secretes a PD-1 antibody and interleukin-21 fusion protein as consolidation treatment for people with multiple myeloma who have kidney dysfunction.
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DC/MM fusion vaccine plus BCMA CAR-T for relapsed or refractory multiple myeloma
This trial will test whether adding a personalized DC/MM fusion vaccine (with GM‑CSF) to standard BCMA CAR‑T therapy helps people with relapsed or refractory multiple myeloma.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.